Anismus as a cause of functional constipation: Experience from Serbia
Backround/Aim. Anismus is paradoxal pressure increase or pressure decrease less than 20% of external anal sphincter during defecation straining. This study analyzed the presence of anismus as within a group of patients with the positive Rome III criteria for functional constipation. We used...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2015-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501501009J.pdf |
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| author | Jovanović Igor Jovanović Dragana Uglješić Milenko Milinić Nikola Cvetković Mirjana Branković Marija Nikolić Goran |
| author_facet | Jovanović Igor Jovanović Dragana Uglješić Milenko Milinić Nikola Cvetković Mirjana Branković Marija Nikolić Goran |
| author_sort | Jovanović Igor |
| collection | DOAJ |
| description | Backround/Aim. Anismus is paradoxal pressure increase or pressure decrease
less than 20% of external anal sphincter during defecation straining. This
study analyzed the presence of anismus as within a group of patients with the
positive Rome III criteria for functional constipation. We used anorectal
manometry as the determination method for anismus. Methods. We used anorectal
waterperfused manometry in 60 patients with obstructive defecation defined by
the Rome III criteria for functional constipation. We also analyzed anorectal
function in 30 healthy subjects. Results. The presence of anismus is more
frequent in the group of patients with obstructive defecation compared to the
control group (a highly statistically significant difference, p < 0.01).
Furthermore, we found that the Rome III criteria for functional constipation
showed 90% accuracy in predicting obstructive defecation. We analyzed the
correlation of anismus with the presence of weak external anal sphincter,
rectal sensibility disorders, enlarged piles, diverticular disease and
anatomic variations of colon. We found no correlation between them in any of
these cases. Conclusion. There is a significant correlation between anismus
and positive Rome III criteria for functional constipation. Anorectal
manometry should be performed in all patients with the positive Rome III
criteria for functional constipation. |
| format | Article |
| id | doaj-art-49fdc193b019480fa883fc202456d63a |
| institution | DOAJ |
| issn | 0042-8450 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-49fdc193b019480fa883fc202456d63a2025-08-20T02:39:22ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502015-01-0172191110.2298/VSP1501009J0042-84501501009JAnismus as a cause of functional constipation: Experience from SerbiaJovanović Igor0Jovanović Dragana1Uglješić Milenko2Milinić Nikola3Cvetković Mirjana4Branković Marija5Nikolić Goran6Clinical Hospital Center “Bežanijska kosa”, BelgradeClinical Center of Serbia, BelgradeClinical Center of Serbia, BelgradeClinical Hospital Center “Bežanijska kosa”, BelgradeClinical Hospital Center “Bežanijska kosa”, BelgradeClinical Hospital Center “Bežanijska kosa”, BelgradeClinical Hospital Center “Bežanijska kosa”, BelgradeBackround/Aim. Anismus is paradoxal pressure increase or pressure decrease less than 20% of external anal sphincter during defecation straining. This study analyzed the presence of anismus as within a group of patients with the positive Rome III criteria for functional constipation. We used anorectal manometry as the determination method for anismus. Methods. We used anorectal waterperfused manometry in 60 patients with obstructive defecation defined by the Rome III criteria for functional constipation. We also analyzed anorectal function in 30 healthy subjects. Results. The presence of anismus is more frequent in the group of patients with obstructive defecation compared to the control group (a highly statistically significant difference, p < 0.01). Furthermore, we found that the Rome III criteria for functional constipation showed 90% accuracy in predicting obstructive defecation. We analyzed the correlation of anismus with the presence of weak external anal sphincter, rectal sensibility disorders, enlarged piles, diverticular disease and anatomic variations of colon. We found no correlation between them in any of these cases. Conclusion. There is a significant correlation between anismus and positive Rome III criteria for functional constipation. Anorectal manometry should be performed in all patients with the positive Rome III criteria for functional constipation.http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501501009J.pdfconstipationmanometryrisk factorsSerbia |
| spellingShingle | Jovanović Igor Jovanović Dragana Uglješić Milenko Milinić Nikola Cvetković Mirjana Branković Marija Nikolić Goran Anismus as a cause of functional constipation: Experience from Serbia Vojnosanitetski Pregled constipation manometry risk factors Serbia |
| title | Anismus as a cause of functional constipation: Experience from Serbia |
| title_full | Anismus as a cause of functional constipation: Experience from Serbia |
| title_fullStr | Anismus as a cause of functional constipation: Experience from Serbia |
| title_full_unstemmed | Anismus as a cause of functional constipation: Experience from Serbia |
| title_short | Anismus as a cause of functional constipation: Experience from Serbia |
| title_sort | anismus as a cause of functional constipation experience from serbia |
| topic | constipation manometry risk factors Serbia |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501501009J.pdf |
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